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Essay on the six aims necessary to improve quality of care delivered to patients
How effective communication is Paramount to nursing
How effective communication is Paramount to nursing
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One Nurse, One Shift Shifting Perspectives In the nonfiction book The Shift registered nurse, Theresa Brown starts her story with “I'm hiding under the covers: Im afraid. Afraid of that moment when the rock slips and all hell breaks loose. For me, it was the patient who started coughing up blood and within five minutes was dead, just like that.” This is Brown describing some of the struggles she encounters on a typical shift as a nurse.
This is something that needs to be looked into more and more monitoring of how the nurses are able to treat their patients. There has been too many episodes where nurses just didn’t want to do their job like give meds when they were suppose to be administered or reporting when patients were in extreme
There are three primary reasons for choosing to apply to Washburn’s School of Nursing. First, I was looking for a highly accredited nursing school with a strong reputation for learning. Although it was difficult finding a lot of rankings information about Washburn’s School of Nursing, I was able to uncover some information from Best-Nursing-Colleges.com which ranks Washburn’s School of Nursing 78th in the Midwest and in the top three locally. Second, my family and me have many friends who have received degrees or currently obtaining degrees from Washburn University and have very positive things to say about the University, faculty and overall learning experience.
Moreover, several studies have been conducted to examine the effects of low nurse staffing on patients hospitalization experiences, as well as its effect on nurse careers in the long run. A recent study by Frith, Anderson, Tseng, and Fong (2012) to explore the relationship between nurse staffing and medication errors, demonstrated that medication errors were higher in a cardiac care unit and non-cardiac care unit when staffing levels were lower. In addition, Frith et al. (2012) pointed out that medication errors increase by 18% for every 20% decrease in nurse staffing below the average due to failure to follow medication administration protocol As mentioned earlier, nurses perform the last and the most important step of medication administration. Thus, having adequate time to assess each patient efficiently and following the medication rights is critical to provide safe patient care and prevent errors.
Recognizing, acknowledging, and understanding medication safety is important when administering medications. Understanding which medications are high-risk ones, being familiar with the medications being given, remembering the five most important rights when administering medications, communicating clearly, developing checking habits, and reporting the medication errors will lead to safe outcomes for the residents. However, errors do occur from a lack of experience, rushing, distractions, fatigue, doing too many things at once, not double checking, poor communication, and lack of team work. It is not only the staff that commit errors, but also the work environment that contributes to the medication error. Two examples are poor reporting systems
To create an environment where these errors are a rare occurrence, all healthcare professionals must dedicate themselves to implementing QSEN's six core competencies each and every day. These professionals must also speak up when they see room for improvement in their workplace. Regardless of the healthcare setting or demographic of patients, safe outcomes are the purpose of providing patient-centered care. Since nurses are the largest subgroup of healthcare professionals, their ability to make strides towards improved medication administration is undeniable. As the nursing code of ethics states, nurses have the duty to protect the health and safety of those in their care (Winland-Brown, Lachman, O'Connor Swanson, 2015).
According to a confidential survey taken in 2002 of 12,000 students, 74 percent admitted to cheating on a test at least once in the last year. This is an appalling number. College students are in the mindset now, because so many people are doing it, that cheating is not wrong so they are doing it regularly. Are people even learning anything in college anymore, or are they just there to learn how to beat the system?
A clinical example where the nurse would be able to exemplify safe and effective care would be teaching a patient about Patient Controlled Analgesia (PCA) pumps. In this situation the nurse must teach the patient about they are the only ones who are allowed to control the pump based on their level of pain and need for medication. The PCA pump is intended to provide fast acting relief for patients who need consistent pain medication. If the nurse does not stress the importance of the patient being the only person allowed to release the analgesic, family members could feel obligated to help control the medication administration. This could lead to an unnecessary need for pain medication that can decrease the patients respiratory drive if given too much and is also unethical.
Reflecting on the past seven weeks I have acquired countless knowledge, which I will use to further strengthen my profession as an Advanced Practice Nurse. The course allowed me to think beyond my current practice knowledge and acquired innovative ways to evaluate the situation at hand. The learning objective in program outcome four helps set standards that I will use to guide my clinical practice to meet various healthcare needs. Using the case studies has helped to further enhance my knowledge on disease physiological state, using differential diagnosis, disease manifestations, and clinical presentation. It has also taught me the skills on how to differentiate between similar diagnoses to properly identify the problem and treat the patients.
Reflection on Medication Administration Description (Competency 3j) I have looked over my moral development regarding medicine administration and have noticed there is the need for improved and has been agreed with my mentor to write a piece of reflection to identify areas of concern Feelings One of the major concern is the pace of dispensing and the time spent used to open charts and allocate them is one of my weakness. Although I am learner I need to back up the pace of dispensing so that patient doesn 't feel my skills is dull or boring and waste of time. I Had developed that feeling of being extra careful to avoid drug error and that makes me feel slightly nervous more also being under the influence of supervision as well. Evaluation
I agree with you Walter. Nursing is a teamwork. In an acute hospital setting, an RN is assigned a set of patient to deliver care that means RN has full responsibility about these patients. In this case, RN who is the primary care nurse can complete her task by herself or delegate some of the task to the nursing assistant according to their scope of practice. The abilities to delegate, and supervise other healthcare workers is not an easy job.
Levett-Jones and Fitzgerald (2005) demonstrate that transition program for nurses or midwives in Australia have three goals: development of confident and competent nurses or midwives, facilitation of professional adjustment, belonging and socialization and development of a commitment to career in nursing or midwifery. The predictors to a successful transition are clinically support, educational support and social support. Clinical support includes support practices, preceptors, clinical facilitators, nursing educators and full rotations. Educational support consists with comprehensive orientation, study day, professional development opportunity, education program and postgraduate education pathway. Also social support contains networking session,
When the nurse fails to communicate successfully with patients, it costs. It costs in unnecessary pain, in avoidable deaths, in poor health outcomes and in the prolongation of
My teaching philosophy stems from my belief that the gauge of a teacher 's success is how effectively the teacher prepares students, not only for present courses, but for their future professional careers. As a Nurse, I am committed to the nursing profession and I chose nursing since; nurses have the chance to a life changing event to every patient. Nurses promote Health Education, Healing and Prevention of Illness, as well as performing end of life care through a dignified death. I chose to be a nurse because I wanted to contribute to humanity, to feel that the world was in some small way, better because I was a part of it.
What does it take to be a registered nurse? What are the qualities you need to become a nurse? The nursing profession is as much about kindness and caring for the whole person as it is about medical and technical knowledge. When considering a career as a registered nurse the qualifications can appear to be never-ending, however, with dedication, determination, and support, these qualifications are easily met. But it is the numerous traits and skills that enable a person to become a successful registered nurse.
